CMS Formulary

Displaying 31661-31670 of 1611142 results.
ID: 31661
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1809471
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31662
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243346
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31663
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243326
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31664
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243330
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31665
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1243229
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31666
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 616148
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31667
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 901614
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31668
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1147337
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31669
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1306298
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 31670
Formulary ID: 00021009
Formulary Version: 14
Contract Year: 2021
RXCUI: 1551999
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30